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It happens more than you think... he could have punched him and then his head hit the ground

There was an incident in my home town where a couple guys got into an argument in front of a grocery store. One hit the other and the guys head hit a piece of the curb and the guy died. The guy that threw the punch ended up spending years in the pen because he lost his cool in an argument over a parking spot.

I don't know what kind of shape the victim in this case is in, but a guy that was big and athletic enough to play LB in the NFL could really crank a guy.